Coffee County Nursing Home, Llc in Douglas - Adult Day Care
Coffee County Nursing Home, Llc - NPI 1730218702
Coffee County Nursing Home, Llc is a Adult Day Care in Douglas, Georgia. Coffee County Nursing Home, Llc practices all healthcare services and medical treatments related to Adult Day Care. The NPI Number for Coffee County Nursing Home, Llc is 1730218702. The last update date is 2020-08-22.
Coffee County Nursing Home, Llc's current location address is 1310 Gordon St W, Douglas, Georgia. You can contact this provider via phone number 9123847811 and fax number 9123847695. The mailing address for Coffee County Nursing Home, Llc is 1310 Gordon St W, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coffee County Nursing Home, Llc |
|---|---|
| Address | 1310 Gordon St W, Douglas, Georgia |
| Phone Number | 9123847811 |
| Fax Number | 9123847695 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF FINA |
|---|---|
| Authorized Official Name | Sheffield Kim |
| Telephone Number | 4786212100 |
NPI Number Detail
| NPI Number | 1730218702 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1310 Gordon St W |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 315333432 |
| Phone Number | 9123847811 |
| Fax Number | 9123847695 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Day Care |
|---|---|
| Taxonomy | 261Qa0600X |
| Licence No | 1-056-1784 |
|
Definition: Provides health, therapeutic and social services to impaired older adults and disabled individuals during daytime hours. |
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What is the unique 10-digit identifier code assigned to Coffee County Nursing Home, Llc by the Centers for Medicare & Medicaid Services?
The Coffee County Nursing Home, Llc has been issued the NPI (National Provider Identifier) 1730218702 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Coffee County Nursing Home, Llc?
The Coffee County Nursing Home, Llc is situated at 1310 Gordon St W, in the city of Douglas, state of GA, with the zip code 315333432.
What is Coffee County Nursing Home, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Coffee County Nursing Home, Llc's area of specialization is Adult Day Care, and the corresponding taxonomy code that categorizes this field of practice is 261Qa0600X.
When did the Coffee County Nursing Home, Llc receive its 1730218702?
The Coffee County Nursing Home, Llc was issued its 1730218702 on 2007-03-05, which is the date when the organization was assigned this unique identifier.
When was the information related to Coffee County Nursing Home, Llc most recently updated or refreshed?
The details pertaining to the Coffee County Nursing Home, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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